East Stadium Chiropractic Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

BK004737 Issued in MI

Legal business name

EAST STADIUM CHIROPRACTIC WELLNESS CENTER LLC

Practice address

2216 Medford Rd
Ann Arbor, MI 48104-5059

Phone

(734) 971-1777

NPI assigned

Dec 11, 2006

Last updated

Oct 21, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian L Kroes, D.C.NPI 1932217106

Title

Chiropractor

Phone

(734) 971-1777

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Leonard Kroes, D.C.

  • Chiropractor
  • Ann Arbor, MI
  • NPI 1932217106
  Medicare reassignment Authorized official
• Aaron Christian Bannister, D.C.

  • Chiropractor
  • Brighton, MI
  • NPI 1255576773
  NPD (past)
• Thomas Riley King, D.C.

  • Chiropractor
  • Ann Arbor, MI
  • NPI 1255449344
  NPD (past)
• Melissa Bornemann Osborn, DC

  • Chiropractor
  • Brighton, MI
  • NPI 1134139959
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1649330416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 MEDFORD RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045059",
            "telephone_number": "734-971-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 MEDFORD RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045059",
            "telephone_number": "734-971-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST STADIUM CHIROPRACTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "KROES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "734-971-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "AB009521",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "BK004737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Jewell Eagle, LCSW
• Erin Ealba, DDS
• M. Lauren Earls, PH.D.
• Earth Angels Senior Services
• Emma Easley
• East to West Psychotherapy, PLLC
• Eastern Arts Therapeutic Massage PLLC
• Eastern Integrative Services LLC
• Debra Eastman, RN, CNS
• Sean C.F. Eaton, M.A., CCC-SLP

• Chiropractor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.